Transcription of Carotid Duplex Final Report - sononet.us
1 Name:DOB:Age:Date:Location:Ordering Physician:Sonographer: Velocity (cm/s)Syst/DiastVelocity (cm/s)Syst/DiastProcedure CPT -Indication : Carotid Duplex Final Report901 West 43rd St. Telephone: 913-888-8866 Kansas City, MO 64111 Fax: 913-888-8829 LEFT////////////Distal ICAMid ICAProx ICABulbDistal CCAProx CCAV ertebralICA/CCAECASex:Ht:Wt:ICD 9 Codes.
2 NATURAL HISTORY OF Carotid STENOSIS ANNUAL % RATE OF VASUCULAR EVENTS %STENOSISTIA,%STROKE,%CARDIAC EVENT,%VASCULAR DEATH,%<50% (mild) (mod)>75% (severe) JW, Zhu CZ, Bornstein NM, Chambers BR: Vascular risks of asymptomatic cartoid stenosis, Stroke 1991, 22 MD, Doctor 999-999-9999 SAMPLE LOCATIONS ample, MHS, RDCS, 2056955 Carotid stenosis without infarction00/00/2009 04/07/1954 SAMPLE, PATIENT753110923781948187125682676186157 121671659247634963392 Final Interpretation: Carotid Duplex Final REPORT2 of 2 Patient Followup recommendations :1 year, If clinically indicated00/00/2009 Duplex Imaging of the Carotid arteries (extra cranial Carotid circulation) revealed.
3 Right Carotid System:. Mild irregular fibrocalcific atherosclerotic plaque is seen in the bulb extending into the proximal internal (ICA) and externalcarotid artery (ECA).Visually and by Doppler criteria the estimated percent of stenosis in the right bulb is in the range of 16-49%.Doppler flow velocities in the right internal Carotid artery are consistent with a <50% in the range of 16-49%. Doppler flow velocities of the right external Carotid artery are consistent with a >50% vertebral flow with normal flow : Mild stenosis of the right internal Carotid artery (<50% stenosis in the range of 16-49%).
4 Left Carotid System:. Mild irregular fibrocalcific atherosclerotic plaque is seen in the bulb extending into the proximal internal (ICA) and externalcarotid artery (ECA).Visually and by Doppler criteria the estimated percent of stenosis in the left bulb is in the range of 16-49%.Doppler flow velocities in the left internal Carotid artery are consistent with a <50% in the range of 16-49%. Doppler flow velocities of the left external Carotid artery are consistent with a <50% vertebral flow with normal flow : Mild stenosis of the left internal Carotid artery (<50% stenosis in the range of 16-49%).
5 Coronary risk factor modification should be considered. Coronary event risk is higher than stroke risk at this stage. Statin agents should be considered. An Antiplatelet agent may be appropriate (eg: aspirin). Follow up in one year is appropriate if clinically indicated. Consider Echocardiography and possibly stress testing the risk of CAD is relatively high with the above Cardiologist MD
